and it is our responsibility to know the account specifics...
Posted By: QAer on 2008-10-06
In Reply to: I was responding to the post above asking if it was our responsibility to know the accounts we are w - QAer
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Don't know specifics about account.
The setup and all that is exactly what I am clueless about. I know nothing about what type of service physician would want yet, but he mentioned to my husband that he might be interested in getting me to do work for him or may try to get me on at hospital he primarily works in. He asked my husband what I charged and my husband told him he wasn't sure. The physician automatically said "15 to 20 cents a line". That is more than I am making now and is very tempting.
Our account specifics say
We have recently been told to type the patient's name if doctor dictates it in the report. I also thought that was against HIPPA.
I could see if she posted account specifics, etc., BUT
I definitely don't see the big deal about saying what hospital you will type on. Some people are way too sensitive and look for something to complain about, but that's just my personal opinion.
When account specifics does not cover
I usually refer to BOS and it states to add the year if not stated - if you are sure of the year. Also - interestingly enough - it says if you are doing long dictation and doc says labs done on April 4, 2006 are.........and then says additonal labs 4/5.... okay to used slashed date - this is on page 121 of BOS edition 2 if you are interested. That being said don't think you would be WRONG to leave off the year if it is verbatim account :))
do you follow an Account Specifics?
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I would read the specifics on that account and do it that way. sm
Sometimes QA gets things backwards, doesn't understand the rules, etc. Make sure you're doing it the way the account wants and ignore incorrect feedback.
If your account specifics don't address it, get a definitive answer from the account manager.
Once you get that definitive answer, it might be wise to have the account manager inform QA of the correct format.
It also depends on your account specifics too...
if it is verbatim, you type what they say...
I think that would just be preferential or maybe account specifics for the doc. sm
I think you are asking whether the "before" or "after" makes a difference. Not that I know of at all, I think it is all preferential in the way they are dictating unless his clinic/hospital requests it that way. The code is the code and is used for billing, makes no difference where in the diagnoses it is other than in order like primary diagnosis, secondary diagnosis, etc. Makes is so much easier on the coders when they give codes rather than second guessing them as some can be very confusing.
whatever the account specifics are, is how you to have type it...
regardless of whether or not you agree with it...just how some companies/accounts are...
Your account specifics or the client should tell you which they prefer....
otherwise, I would use 2 spaces as that is the way it is normally done. I believe the AAMT recently has stated that only 1 space should be used, but I don't put a lot of stock in their rules. I go by what my client wants and account specifics.
My account specifics require it typed out, so I can't really comment
I have been on accounts that did not require it. Unfortunately, you have to follow account specifics. I had all abbreviations in my Expander to type the full word or phrase because the account I worked on previously did not allow ANY abbreviations anywhere in the report. Needless to say, anytime you switch accounts, you likely have to adjust your expanders.
My account specifics state 2 spaces after a period, but when I get ASR..
it spits the report out with only 1 space after each period. I understand they are paying me less by making that minor adjustment, but is it worth my time to go put the extra space in. I would get paid for the spaces then. This will take extra time, obviously, but wondering if I would get thru the report quicker and make more money in the long run? Any suggestions?
But my account specifics wants 2 spaces which takes precedence over BOS doesn't it? sm
So when I type on that account I put 2 spaces, and when I do ASR there is only 1. Maybe I am too detailed oriented, and I have to let the small things go. Been doing this 30 years, so I am stuck in my ways, I guess.
AccuSTAT in Wisconsin is hiring for an ER account. See the Job Bank for specifics. IC position. NM
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lines produced also depends on type of account, doctors, specifics, platforms.
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responsibility?
Everyone has made a bad decision at some point in their lives. That doesn't mean that we deserve to be killed because of it. The responsibility lies with the criminals. They are the ones who do the bad things to innocent people. How many girls are kidnapped and raped who aren't out drinking? Many. Why not talk about the parents of the suspected boy? Where does their responsibility lie? We are criticising Natalee's mother, but what about this boy's father? How could you hide information about your son's actions when he has possibly killed someone?
Your mentality is lacking. If you get in a car and drive to work, does that mean you are just asking to be killed in a traffic accident. And if you are, people should just say Oh well, she chose to drive! That's what she gets. ????
Responsibility
Sorry, but I think Beth should be held accountable and responsible for her actions/words. She is out of control, in my opinion, fueled by her raw emotion and e-mails/letter/cards she feels are supporting her actions. She is supported in her ordeal and I support her. However, she has crossed a line now and she needs to step back and reassess. She seems erratic and just grasping at straws now, saying a lot of stuff in interviews that really makes no sense. I do not know how I would react if I was in her situation so I should not criticize her. I just really do feel that her emotions are too raw now for her to be rational. It is like she is declaring, "I came to Aruba. I found the criminals myself, now prosecute them." What if she eventually finds out she was dead wrong, that her beautiful, intelligent, outstanding daughter was alive when she the mother arrived in Aruba but she drove the investigation to go the way she wanted it to go, the way she felt in her heart/soul was the right way. But, what if she is wrong? What if the investigators dropped what they were doing to catch the real criminals to passify Beth and the media? What if Natalee could have been saved? How will her mother feel then if she finds that out?
let the dr take responsibility
Liability insurance? The doctors are supposed to read over our transcribed reports and when they put their signature on the report, they have taken responsibility. Why should we have to pay for liability insurance?
Where is MTs responsibility in this? Is it always
x
How about the responsibility of the INDIVIDUAL
You've totally missed the whole point of the article!
Govt responsibility
Totally agree with you. I dont care if some were not prepared..what I care about is now they are hungry, thirsty, homeless..It is the responsibility of our government and the brothers and sisters of America to help other Americans when they need help. I am from NY and I have been through quite a few hurricanes..nothing like what Florida goes through but I do know hurricanes hit sometimes when you are a day or two from your paycheck and really dont have any money to go shopping or rent out a hotel room. It scares me that so many Americans blame the victim and turn a blind eye and deaf ear to Americans in need.
No, sorry, dear. It's her responsibility to
set and example of standards and intelligence because she's representing the company she's working for. She's a manager, not an owner and she's not paying anyone. She's on the payroll too and has the responsibility to make the company look professional and polished.
You're dead wrong on this one.
Your first responsibility is to YOUR kids. sm
Since it's obvious this other family is troubled, and also that they will not respect the rules of your family and household, you need to talk to YOUR kids.
They need to know they are safe, and that you will be responding, and they need to know HOW you will respond. Predators use some of the crap these kids are pulling, and your kids need to have an identity strong enough to remain KIND but NOT give in to the other kids' behavior.
I'm going to assume (ouch) that your kids are uncomfortable with the situation. Please let it be a teaching opportunity for them. They know the rules; why are the OTHER kids allowed to break your family rules? They want to be kind; can you teach them also to be FIRM?
Good luck. Your kids are your first priority. You may never even KNOW what in the world is going on with the other kids, let alone be able to do anything about it, but your kids will remember this episode for the rest of their lives, probably. Will they also remember how you taught them to understand and overcome?
Yes, I think it is a responsibility and I mad a promise...
to mom to not ever put her in a nursing home as a young 20-something. As an only child, I followed and kept that promise.
I cared for her for 6 years. It should have been more but I didn't realize she was going downhill so fast. I was very stressed out in her later years as she started to develop a lot of problems including memory problems, but when I look back, I would NEVER, EVER, change my mind. She was happy here with us and although she was having a lot of problems, the only thing I wished for was for her to be comfortable and happy. (She was in a nursing home temporarily for 2 months after she broke her hip and was very unhappy. This was sort of a test to see if she would like it, but she didn't.) I did everything necessary to make her comfortable in her last years.
It was hard, but I kept my promise even though every doctor told me to put her in a nursing home. Thank heavens, I worked for a great company that understood and allowed me to take as many breaks/days off as I needed to care for her. I would never have changed a thing even though I got very worn out during the end myself because she was almost totally bedridden. Still, I loved my mother with all my heart and still miss her even though she died 6 years ago.
I only hope my children would do the same for me unless i have Alzheimer disease. If a parent is unhappy at a nursing home, by all means do what is necessary to make their last days happy. After all, they raised us, and we should return that love.
You need to be patient, be a nurse, doctor, etc. for an elderly parent and if there is none, it could be very, very "unhealthy" for the parent and the child, but I feel we need to make sacrifices for our parents happiness in their later years as they sacrificed for us in our early years. After all, they are the only parents we had, andI I have NO regrets, knowing I did the best I could for her.
Sorry to ramble. I'm still grieving. I wanted her to live to be 100 if possible.We were really close all our lives.
and he as mayor of that city had no responsibility at all?
Such convoluted logic. Believe me, he's doing a great job of pointing the finger of blame and ducking responsibility on his own without any help from you.
collective work and responsibility?
thats insane
ultimately it's the hospital's responsibility but do you want to keep your job?
If you do, you'll make sure the hospital is happy. Not a lot you can do here unless you want to cut a deal with the hospital where you will have a sub work your account for you when you are off. That may or may not fly at the hospital. Another thing you can ask is that they hire a third person to work the account. Of course, that means you risk losing work if she wants more...
The doc who signs off on it has ultimate responsibility.
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You chose IC status. Your responsibility. nm
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This is the responsibility of the MTSO, in my opinion. SM
Go directly to the transcription service or company owner. I have always felt strongly that the person in charge of the particular problem account must address this directly with the physician(s) who are dictating the garbage. For years, I had several local physician practices. Most were excellent dictators, but one in particular was horrible. I put up with it for a few weeks, and then addressed the problems with an outlined specification sheet indicating what information needs to be given in dictation to protect the safety of the patient record, as well as to produce an acceptable medical report. I also indicated that transcriptions requiring repetitive deletions, going back and changing dictation, and constant misspelled words would be charged a higher line rate. This is also the doctor who would give the filled in blanks back to be retyped. These were blanks that were completely inaudible in the original dictation because of excess noise, coughing while saying the words, or laughing with colleagues while trying to dictation. In bold, I also specified PLEASE DICTATE IMPORTANT PATIENT MEDICAL RECORDS IN A QUIET AREA THAT IS FREE OF EXCESS BACKGROUND NOISE TO ENSURE ACCURATE INFORMATION IS BEING RELAYED. If the owner of the transcription company had to type this work, trust me something would be addressed with the dictator. Speak up about this because after all you are the one responsible for producing the report.
Interesting and typical. Accept responsibility for nothing
He's a loser
There's always a reason. The question is is whether people are willing to take responsibility.
and what the heck does "variate" mean?
love and responsibility are sure left out of your assessment.
x
It's your responsibility to give them their documents on disk/CD!
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I was responding to the post above asking if it was our responsibility to know the accounts we are w
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bushies? Advocating personal responsibility
for one's actions is NOT a political party issue - it is a common sense issue!!! If bashing dishonesty and laziness offends you, then stay off this board. Sounds to me you are the same type of person this lazy slob is.
I would take responsibility for my actions and I would not call citizens of the country
criminals if there is no evidence to hold them and I personally have no evidence to present to the law to hold them. I am not one for the spotlight even without grieving for the loss of my child. I certainly would not get up on world-wide TV and insult the people conducting the search and investigation for my missing child. And I would not be in the frame of mind to get all made up with glitter eye makeup and false eyelashes to tell other countries not to accept "criminals" who the legal system did not have evidence to hold. She is a loon.
ask her specifics; she needs to tell you
if she asked you when you were getting DSL, it indicates she wants you to produce more lines, sounds like. Many of us employees of transcription companies pay our own DSL. Check with inhouse MTs. Maybe they are producing more.
Specifics
Sorry - I forgot to mention I have the PostureFit Aeron chair by Herman Miller. I checked out E-bay and took a couple of months to bid on a few until I could get one for the lowest price possible - which at the time was about $500. I know it's pricey, and at first I was disappointed because I thought I paid too much (I have to admit I'm cheap), but now I believe it was worth it. I'm just glad I didn't get rid of it right away without using it for a while! Hope you find one that works for you!
Any specifics on how to do that?
Any way to re-learn to listen ahead? It all comes so automatic (the way I do it now). Also, it seems like I would have to slow the recording down too.
Specifics, please....
Do you use a lot of self-made normals? I've been lucky this week and have gotten a lot of ops. I managed to post 221 LPH my last shift worked, but I also got the you-know-what scared out of me awhile back (vicariously) when my CCM called a conference call to explain that using cut-and-paste Expanders from specific dictators previously dictated reports was not allowed, so I've never done that. In fact, the thought hadn't occurred to me to try that until the conference call, LOL! (Amazing what ideas you get from somebody ELSE getting in trouble....)
Anyway, I'm pretty fast at ops, and consider them my favorite work-type, but even on a complete night of them on a primary account, 221 LPH was the result.
Suggestions?
These knee jerk bleeding heart liberals could not take responsibility for their
actions if it hit them in the face as it did with Mrs. Twitty. The Arubans are sick and tired of her and frankly so am I. Wash the makeup off your face, take off the false eyelashes and go grieve for your daughter.
specifics have not been announced yet.
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You need to give more specifics for any really
helpful answers. Are you an IC? Is it a private client and some unknown person is changing your reports? Do you work inhouse and have some other processing of your reports? Do you work for a national, and think QA is altering your reports? I know lots of MTs accuse QA of removing sentences, etc., when, in reality, the MTs never heard what they thought they heard to start with! One error in mid sentence and then 3 sentences incorrect! QA often has to go in and retype sections, while the MT accuses QA of being lazy or some other such charge. Can't really think of why someone would want to change your reports - are you thinking you are being set up or something? Please provide more details if you need more help! 
How come you provide no specifics?
Too busy to spend a few minutes typing information that would benefit other people, when obviously you benefit from this bulletin board by reading it and even responding? This website is criticized by people for being overly negative and when people make such harsh comments without having anything to base it on, it makes the poster look suspicious. If you have any facts (or even impressions) to support your claim, please give them. If you don't, why make such strong statements?
Want specifics from posters
Let me clarify: I wanted to hear specifics from the experiences of those MTSOs that participate posting on this site.
I would do what you think looks the best if you're not given any specifics.
They will certainly tell you to make a change if they don't like it. In this case, no news is good news.
link to AMT specifics
http://dontmesswithtaxes.typepad.com/dont_mess_with_taxes/2007/12/tax-season-on-s.html
Are there no "account specifics" in QA?-
First let me say this is not my being "sensitive" to having mistakes pointed out, if I make a mistake I want to know so I do not make it again. BUT, it is absolutely so frustrating when the QA people are not consistent with each other and make corrections on their personal preferences. For example, one tells you you made a mistake by formating this way, you change it, someone else QAs it and they say its wrong and to do it another way! You question this and are told to follow the account specifics, which is what you did to start with! I am truly curious to know if the QA people are brought together and given the same account specifics the MTs are. Honestly, from what I am seeing it is a "to each his/her own" and they are free to make whatever corrections they deem necessary and are given the freedom to change things we were told not to, then we get ganked for it! It also varies greatly between the day shift QAs and the night shift QAs. I have come across a few wonderful QAs in my time who were great and from who you could learn a lot. Unfortunately, there have only been a few.
If you are not given specifics for your test...sm
just type it as you learned it in school!
HISTORY OF PRESENT ILLNESS:
is right as you typed it, it is usually capitalized and always followed by a colon :
And it is
p.r.n.
The newest form is to type 'at bedtime', as h.s. is a dangerous abbreviation.
What is the difference between an acute care account and a multispecialty account??..nm
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